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ABSTRACT Familial exudative vitreoretinopathy (FEVR) is a hereditary ocular disorder characterized by a failure of peripheral retinal vascularization. Loci associated with FEVR map to
11q13–q23 (_EVR1_; OMIM 133780, ref. 1), Xp11.4 (_EVR2_; OMIM 305390, ref. 2) and 11p13–12 (_EVR3_; OMIM 605750, ref. 3). Here we have confirmed linkage to the 11q13–23 locus for autosomal
dominant FEVR in one large multigenerational family and refined the disease locus to a genomic region spanning 1.55 Mb. Mutations in _FZD4_, encoding the putative Wnt receptor frizzled-4,
segregated completely with affected individuals in the family and were detected in affected individuals from an additional unrelated family, but not in normal controls. FZD genes encode Wnt
receptors, which are implicated in development and carcinogenesis. Injection of wildtype and mutated _FZD4_ into _Xenopus laevis_ embryos revealed that wildtype, but not mutant, frizzled-4
activated calcium/calmodulin-dependent protein kinase II (CAMKII) and protein kinase C (PKC), components of the Wnt/Ca2+ signaling pathway. In one of the mutants, altered subcellular
trafficking led to defective signaling. These findings support a function for frizzled-4 in retinal angiogenesis and establish the first association between a Wnt receptor and human disease.
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support SIMILAR CONTENT BEING VIEWED BY OTHERS _RS1H__−/Y_ EXON 3-DEL RAT MODEL OF X-LINKED RETINOSCHISIS WITH EARLY ONSET AND RAPID PHENOTYPE IS RESCUED BY _RS1_ SUPPLEMENTATION Article
Open access 22 September 2021 HBEGF-TNF INDUCE A COMPLEX OUTER RETINAL PATHOLOGY WITH PHOTORECEPTOR CELL EXTRUSION IN HUMAN ORGANOIDS Article Open access 19 October 2022 AGGREGATION OF
RHODOPSIN MUTANTS IN MOUSE MODELS OF AUTOSOMAL DOMINANT RETINITIS PIGMENTOSA Article Open access 16 February 2024 ACCESSION CODES ACCESSIONS GENBANK/EMBL/DDBJ * AB029451 * AF117388 *
AJ251750 * AK000684 * AK024853 * FLJ22104 * NM_012193 * NM_022918 * NP_001457 * NP_003459 * NP_003496 * NP_003497 * NP_003498 * NP_003499 * NP_005622 * NP_009128 * NP_032081 * NP_036325 *
NP_059108 * NP_114072 * NT_009184 CHANGE HISTORY * _ 22 AUGUST 2002 Changed Wn to Wnt and changed vasculative to vasculature _ NOTES * NOTE: There were two typographical errors in the AOP
version of this article, which have since been corrected. On page 1, 'Wn' in line 12 was replaced with 'Wnt', and 'vasculative' in line 10 was replaced with
'vasculature'. The article will appear correctly in a forthcoming print issue. REFERENCES * Li, Y., Fuhrmann, C., Schwinger, E., Gal, A. & Laqua, H. The gene for autosomal
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mutations in sporadic basal-cell carcinoma. _Nature_ 391, 90–92 (1998). Article CAS Google Scholar Download references ACKNOWLEDGEMENTS The authors thank J. Thompson, T. Pape, J.
MacFarlane, B. Payne, C. Radomski, M. Mattice, A. Hogan, P. Samra, and G. Donaldson at Xenon Genetics and C. Tatlidil at Dalhousie University for technical support; F. Mikelberg for
discussion; and the members of the affected families for their enthusiasm and participation. This work was supported in part by a grant from the Nova Scotia Health Research Foundation and
the IWK Health Centre to J.R. B.S.S. was supported in part by the Fight for Sight research division of Prevent Blindness America. R.T.M. is an Investigator of the Howard Hughes Medical
Institute. M.R.H. holds a Canada Research Chair. A.K. was supported by an US National Institutes of Health Reproductive Biology Training Grant. AUTHOR INFORMATION Author notes * Johane
Robitaille and Marcia L.E. MacDonald: These two authors contributed equally to the work. AUTHORS AND AFFILIATIONS * Department of Ophthalmology, Izaak Walton Killam (IWK) Health Centre,
Dalhousie University, Halifax, B3H 2Y9, Nova Scotia, Canada Johane Robitaille, Duane L. Guernsey & Binyou Zheng * Department of Pathology, Division of Molecular Pathology and Molecular
Genetics, Dalhousie University, Halifax, B3H 4H7, Nova Scotia, Canada Johane Robitaille & Duane L. Guernsey * Xenon Genetics, Inc., Burnaby, V5G 4W8, British Columbia, Canada Marcia L.E.
MacDonald, Jutta Zeisler, Marie-Pierre Dubé, Lin-Hua Zhang, Roshni R. Singaraja, Simon N. Pimstone, Michael R. Hayden, Y. Paul Goldberg & Mark E. Samuels * Department of Pharmacology,
Howard Hughes Medical Institute, University of Washington School of Medicine, Seattle, Washington, USA Ajamete Kaykas, Laird C. Sheldahl & Randall T. Moon * Department of Ophthalmology,
University of Western Ontario, London, Ontario, Canada Lee F. Siebert * Department of Ophthalmology, QEII Sciences Centre, Dalhousie University, Halifax, Nova Scotia, Canada Ann Hoskin-Mott
* William Beaumont Hospital, Royal Oak, Michigan, USA Michael T. Trese * Department of Biological Sciences, Oakland University, Rochester, Michigan, USA Barkur S. Shastry * Department of
Medical Genetics, University of British Columbia, Vancouver, V6H 3N1, British Columbia, Canada Michael R. Hayden & Y. Paul Goldberg Authors * Johane Robitaille View author publications
You can also search for this author inPubMed Google Scholar * Marcia L.E. MacDonald View author publications You can also search for this author inPubMed Google Scholar * Ajamete Kaykas View
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search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to Michael R. Hayden. ETHICS DECLARATIONS COMPETING INTERESTS Portions of this research have been
financially supported by Xenon Genetics, Inc., either directly (through research collaborations) or indirectly (as some of the authors are Xenon employees). RIGHTS AND PERMISSIONS Reprints
and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Robitaille, J., MacDonald, M., Kaykas, A. _et al._ Mutant frizzled-4 disrupts retinal angiogenesis in familial exudative
vitreoretinopathy. _Nat Genet_ 32, 326–330 (2002). https://doi.org/10.1038/ng957 Download citation * Received: 23 March 2002 * Accepted: 16 July 2002 * Published: 12 August 2002 * Issue
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